NPI age
1 years
Enumerated 2024-08-14
● Active
Type 1 · Individual
Nicole L Wallace, I.S.
Wallace is 1 of 9 assistant behavior analyst providers in Idaho Falls and 1 of 21 in Idaho.
Primary specialty
Assistant Behavior Analyst
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 21 active assistant behavior analyst providers in Idaho.
NPI age
1 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Practice location
2185 Koro Ave
Idaho Falls, ID 834046226
Mailing address
2185 Koro Ave
Idaho Falls, ID 834046226
Specialties
-
Assistant Behavior Analyst PrimaryAn assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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